Starfile / Oklahoma

Windsor Hills Nursing Center

2416 North Ann Arbor, Oklahoma City, OK 73127 · CCN 375400

Abuse icon

Inspection history vs Oklahoma & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$62,078

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

DIAKONOS GROUP

Facilities in chain

7

Chain avg overall

2.10 / 5

Inspection citations (30)1 immediate jeopardy3 actual harm

1. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-11 · Health · corrected 2025-10-03

   Actual harm

2. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-09 · Health · corrected 2025-05-13

   Potential for more than minimal harm

3. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-09 · Health · corrected 2025-05-06

   Immediate jeopardy

4. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-09-27 · Health · corrected 2024-10-29

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2024-09-27 · Health · corrected 2024-10-29

   Potential for more than minimal harm

6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-27 · Health · corrected 2024-10-29

   Potential for more than minimal harm

7. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-09-27 · Health · corrected 2024-10-29

   Potential for more than minimal harm

8. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-27 · Health · corrected 2024-10-29

   Actual harm

9. DF0692Provide enough food/fluids to maintain a resident's health.2024-09-27 · Health · corrected 2024-10-29

   Potential for more than minimal harm

10. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-09-27 · Health · corrected 2024-10-29

    Potential for more than minimal harm

11. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-27 · Health · corrected 2024-10-29

    Potential for more than minimal harm

12. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-09-27 · Health · corrected 2024-10-29

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-27 · Health · corrected 2024-10-29

    Potential for more than minimal harm

14. DF0880Provide and implement an infection prevention and control program.2024-09-27 · Health · corrected 2024-10-29

    Potential for more than minimal harm

15. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-26 · Health · corrected 2024-08-01

    Potential for more than minimal harm

16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-26 · Health · corrected 2024-08-01

    Potential for more than minimal harm

17. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-09 · Health · corrected 2023-08-25

    Potential for more than minimal harm

18. DF0637Assess the resident when there is a significant change in condition2023-08-09 · Health · corrected 2023-08-25

    Potential for more than minimal harm

19. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-09 · Health · corrected 2023-08-25

    Potential for more than minimal harm

20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-09 · Health · corrected 2023-08-25

    Potential for more than minimal harm

21. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-09 · Health · corrected 2023-08-25

    Potential for more than minimal harm

22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-25 · Health · corrected 2023-08-02

    Potential for more than minimal harm

23. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-25 · Health · corrected 2023-08-02

    Potential for more than minimal harm

24. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-25 · Health · corrected 2023-08-02

    Actual harm

25. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-08-23 · Health · corrected 2022-09-23

    Potential for more than minimal harm

26. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-23 · Health · corrected 2022-09-23

    Potential for more than minimal harm

27. EF0759Ensure medication error rates are not 5 percent or greater.2022-08-23 · Health · corrected 2022-09-23

    Potential for more than minimal harm

28. DF0760Ensure that residents are free from significant medication errors.2022-08-23 · Health · corrected 2022-09-23

    Potential for more than minimal harm

29. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2022-08-23 · Health · corrected 2022-09-23

    Potential for more than minimal harm

30. EF0880Provide and implement an infection prevention and control program.2022-08-23 · Health · corrected 2022-09-23

    Potential for more than minimal harm

Ownership

Other facilities in Oklahoma City

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.